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Step-cut Translation Osteotomy and Y-plate Fixation: A Novel Method for Correction of Cubitus Varus and Valgus Deformity

Volume 4 | Issue 1 | January-June 2018 | Page: 12-15 | Kumar Shashi Kant, Vikas Gupta DOI- 10.13107/ijpo.2018.v04i01.004 Authors: Kumar Shashi Kant, Vikas Gupta [1] Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalya, [1] Central Institute of Orthopaedics, Vardhaman Mahavir Medical College, Safdarjang Hospital, New Delhi, India Address of Correspondence Dr. Vikas Gupta, Central […]

Comparison of Two Different Medial Reference Points for Measurements of the Acetabular Index

Volume 4 | Issue 1 | January-June 2018 | Page: 07-11 | Sandeep Vijayan, Dhiren Ganjwala, Hitesh Shah DOI- 10.13107/ijpo.2018.v04i01.003 Authors: Sandeep Vijayan, Dhiren Ganjwala [1], Hitesh Shah Department of Orthopaedics, Paediatric Orthopaedic Service, Kasturba Medical College, Manipal, Karnataka, [1] Paediatric Orthopaedic Service, Ganjwala Orthopaedic Hospital, Ahmedabad, Gujarat, India. Address of Correspondence Dr. Hitesh Shah, […]

Step-cut Translation Osteotomy and Y-plate Fixation: A Novel Method for Correction of Cubitus Varus and Valgus Deformity

Comparison of Two Different Medial Reference Points for Measurements of the Acetabular Index

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Step-cut Translation Osteotomy and Y-plate Fixation: A Novel Method for Correction of Cubitus Varus and Valgus Deformity

Volume 4 | Issue 1 | January-June 2018 | Page: 12-15 | Kumar Shashi Kant, Vikas Gupta

DOI- 10.13107/ijpo.2018.v04i01.004

Authors: Kumar Shashi Kant, Vikas Gupta [1]

Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalya, [1] Central Institute of Orthopaedics, Vardhaman Mahavir Medical College, Safdarjang Hospital, New Delhi, India

Address of Correspondence
Dr. Vikas Gupta,
Central Institute of Orthopaedics, Vardhaman Mahavir Medical College, Safdarjang Hospital, New Delhi – 110 029, India.
E-mail: drvikas@hotmail.com

Abstract

Introduction: Many types of osteotomy have been proposed for the treatment of cubitus varus and valgus deformity. All these osteotomies have their advantages and disadvantages; however, till date there is no uniform consensus as to which osteotomy is the best suited for correction of these deformities. Materials and Methods: We reviewed the results of step-cut translation osteotomy in the management of cubitus varus and cubitus valgus deformity. This study includes 27 cases of cubitus varus and five cases of cubitus valgus deformity that underwent supracondylar step-cut translation osteotomy with Y-plate fixation for correction of the deformity. Results: The results were evaluated according to the modified criteria of Oppenheim et al. There were 25 excellent, six good, and one poor result. Overall, complication rate in our series was 12.5% (4/32). There was no recurrence of deformity in the available follow-up. Conclusions: Step-cut translation osteotomy is a relatively simple procedure that corrects cubitus varus and valgus deformities without any prominence of the medial or lateral condyle. Moreover, a wide osteotomy surface and rigid fixation allows early mobilization of the joint with good clinical results.
Keywords: Cubitus valgus, Cubitus varus, Step-cut osteotomy

References

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How to Cite this Article: Kant KS, Gupta V | Step-cut translation osteotomy and Y-plate fixation: A novel method for correction of cubitus varus and valgus deformity | January-June 2018; 4(1): 12-15.

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Comparison of Two Different Medial Reference Points for Measurements of the Acetabular Index

Volume 4 | Issue 1 | January-June 2018 | Page: 07-11 | Sandeep Vijayan, Dhiren Ganjwala, Hitesh Shah

DOI- 10.13107/ijpo.2018.v04i01.003

Authors: Sandeep Vijayan, Dhiren Ganjwala [1], Hitesh Shah

Department of Orthopaedics, Paediatric Orthopaedic Service, Kasturba Medical College, Manipal, Karnataka,
[1] Paediatric Orthopaedic Service, Ganjwala Orthopaedic Hospital, Ahmedabad, Gujarat, India.

Address of Correspondence
Dr. Hitesh Shah,
Department of Orthopaedics, Kasturba Medical College, Manipal – 576 104, Karnataka, India.
E-mail: hiteshshah12@gmail.com

Abstract

Introduction: Acetabular index (AI) is a commonly used quantitative measurement of acetabular inclination in plain radiographs. Repeated measurements of this index are used to determine dysplasia in children and for decision making about surgical management. Persistent acetabular dysplasia may be an indication for performing an acetabuloplasty. AI is commonly measured between the Hilgenreiner’s line (line that connects both triradiate cartilages) and the line joining lateral most ossified margin of the acetabulum and triradiate cartilage. Two different methods for measurement of AI with two different medial reference points at the triradiate cartilage have appeared in the literature. Aim: The specific aim of the study was to investigate the difference between AI measurements with two different methods and report on intraobserver and interobserver reliability of both the methods. Materials and Methods: Ninety-eight children with developmental dysplasia of the hip (DDH) (treated and untreated), younger than 9 years, were included in the study. Anteroposterior radiographs of the pelvis having acceptable pelvic rotation and pelvic tilt were included in the study. AI was measured using two different reference points for the affected and normal sides. AI was measured twice at 1-month interval by two investigators. The difference between the two measurement techniques was compared by the paired “t” test. Pearson’s correlation coefficient was calculated to test associations between the two measurement techniques. Results: The reproducibility of measurements of both the techniques was found satisfactory [intraclass correlation (ICC)-0.90 and 0.87]. Statistically significant difference (P value < 0.001) (5.7° for affected and 5.3° for normal side) between the indices measured by two techniques was noted. This difference was noted for all age groups. Significant positive correlations between both the techniques were noted in normal as well as dysplastic hips. Conclusion: Acetabular indices measured with two different medial points gave significantly different values. All subsequent assessment should be consistently carried out by the same method.
Keywords: Acetabular index, Acetabuloplasty, Developmental dysplasia of hip, Medial reference point

References

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How to Cite this Article: Vijayan S, Ganjwala D, Shah H | Comparison of two different medial reference points for measurements of the acetabular index| International Journal of Paediatric Orthopaedics | January-June 2018; 4(1): 07-11.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Step-cut Translation Osteotomy and Y-plate Fixation: A Novel Method for Correction of Cubitus Varus and Valgus Deformity

Comparison of Two Different Medial Reference Points for Measurements of the Acetabular Index

Step-cut Translation Osteotomy and Y-plate Fixation: A Novel Method for Correction of Cubitus Varus and Valgus Deformity

Comparison of Two Different Medial Reference Points for Measurements of the Acetabular Index

Full Sized Blog Element (Big Preview Pic)

Step-cut Translation Osteotomy and Y-plate Fixation: A Novel Method for Correction of Cubitus Varus and Valgus Deformity

Authors: Kumar Shashi Kant, Vikas Gupta [1]

Abstract

References

(Article Text HTML) (Download PDF)

Comparison of Two Different Medial Reference Points for Measurements of the Acetabular Index

Authors: Sandeep Vijayan, Dhiren Ganjwala [1], Hitesh Shah

Abstract

References

(Article Text HTML) (Download PDF)

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